Uterine Adenomyoma With Exophytic Subserosal Growth: Case Report of Rare Manifestation With Image Diagnosis and Laparoscopic-Assisted Excision

Akihiro Takeda, Sanae Imoto, Chisato Sugiyama, Sugiyama C, Hiromi Nakamura, Nakamura H
Journal of Minimally Invasive Gynecology · 2013 · vol. 20(5) , pp. 717–722 · doi:10.1016/j.jmig.2013.04.011 · PMID:23796511 · W2114076305
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This case report details a rare manifestation of uterine adenomyoma with exophytic subserosal growth, presenting imaging findings and describing laparoscopic-assisted excision.

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Abstract

Uterine adenomyoma is a nodular aggregated form of adenomyosis composed of heterotopic endometrial or endometrium-like structures in the myometrium, with adjacent myometrial hyperplasia. Although adenomyoma is not extremely rare, reports of adenomyoma showing exophytic subserosal growth are limited. A 32-year-old nulligravida woman had sudden onset of lower abdominal pain. In addition to a left endometriotic cyst, a heterogeneous mass lesion showing mural and exophytic subserosal growth was noted in the posterior wall of the uterus. In a two-port laparoscopic-assisted procedure, the subserosal nodule was excised using ultrasonic coagulating shears, followed by excision of the mural lesion using a round loop electrode and a high-frequency electrosurgical unit. The histopathologic diagnosis was adenomyoma.

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MeSH descriptors

Adenomyoma Laparoscopy Uterine Neoplasms Adenomyoma Adenomyoma Adenomyoma Adult Female Humans Laparoscopy Treatment Outcome Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms

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